Registered Nurse Hospice Case Manager; Registered Nurse

Yale New Haven Health•Guilford, CT

48d

About The Position

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Hospice Registered Nurse Case Manager serves as a member of the interdisciplinary team (IDT) and is responsible for providing compassionate, comprehensive care of patients, development of the patient plan of care, coordination with the patient's provider and other disciplines for the provision of services, and safe delivery of patient care, enhancing quality of life during end-of-life care. EEO/AA/Disability/Veteran Responsibilities 1. Assumes primary responsibility for assigned patients and performs all phases of the nursing process. 2. Assesses/reassesses patients and establishes plans of care that are patient-specific. 3. Collaborates with providers, other disciplines and communicates all changes promptly. 4. Educates patients/caregivers regarding hospice philosophy, disease progression, physical components of care, stages of dying, and other aspects of the POC as necessary. 5. Completes all documentation in the EMR within 24 hours. Must include changes in condition, follow-up with the provider or other disciplines, with supporting documentation. 6. Oversight of LPNs and Home Health Aides. 7. Reviews and updates the POC per regulatory standards. 8. Schedules patients independently according to the individual plan of care. 9. Thorough and accurate CMS data collection tool documentation. 10. Builds and nurtures relationships with referral sources, physicians, and facility staff to enhance visibility and trust in hospice services. 11. Participates in Interdisciplinary Team (IDT), case management conferences and documents per guidelines. 12. Attends staff meetings, in-services, and other meetings as appropriate or upon request. 13. Participates in after hour, weekend and holiday coverage as needed. 14. Follows policies and procedures. 15. Understands and exemplifies hospice philosophy, values, beliefs, and team concepts in all job-related roles. 16. Coordinates and manages the care of patients receiving services in their home. 16.1 Participates in case management conferences and documents per guidelines. 17. May perform other duties assigned.

Requirements

Nursing Diploma or Associates Degree in Nursing required.
Minimum of two (2) years of nursing experience preferred.
Registered Nurse with a valid (or eligible) Connecticut license required.
A valid driver's license and proof of car insurance are required when using a personal vehicle for company business.
Access to a dependable vehicle in order to travel to multiple stops a day.
CPR certification is required and must be maintained. Candidates who do not have certification are required to obtain it within 3 months (90 days) of hire.
Understanding of Medicare certification and CMS data collection tool documentation experience.
Strong organizational skills and the ability to work independently.
Strong computer skills and the ability to learn new software.
Ability to manage a variety of assignments while establishing priorities and ensuring that necessary duties are completed.
Ability to perform tasks involving physical activity, which includes heavy lifting, extensive bending, administering CPR, patient bracing, standing, and stairs.
Requires exposure to blood and body fluids, hazardous materials and communicable diseases.

Nice To Haves

Bachelors in Nursing preferred.
Previous home care/hospice experience preferred.

Responsibilities

Assumes primary responsibility for assigned patients and performs all phases of the nursing process.
Assesses/reassesses patients and establishes plans of care that are patient-specific.
Collaborates with providers, other disciplines and communicates all changes promptly.
Educates patients/caregivers regarding hospice philosophy, disease progression, physical components of care, stages of dying, and other aspects of the POC as necessary.
Completes all documentation in the EMR within 24 hours. Must include changes in condition, follow-up with the provider or other disciplines, with supporting documentation.
Oversight of LPNs and Home Health Aides.
Reviews and updates the POC per regulatory standards.
Schedules patients independently according to the individual plan of care.
Thorough and accurate CMS data collection tool documentation.
Builds and nurtures relationships with referral sources, physicians, and facility staff to enhance visibility and trust in hospice services.
Participates in Interdisciplinary Team (IDT), case management conferences and documents per guidelines.
Attends staff meetings, in-services, and other meetings as appropriate or upon request.
Participates in after hour, weekend and holiday coverage as needed.
Follows policies and procedures.
Understands and exemplifies hospice philosophy, values, beliefs, and team concepts in all job-related roles.
Coordinates and manages the care of patients receiving services in their home.
Participates in case management conferences and documents per guidelines.
May perform other duties assigned.